HomeMy WebLinkAboutCity of Tamarac Resolution R-88-229Temp. Reso. #5158
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CITY OF TAMARAC, FLORIDA
RESOLUTION NO. R--88 -1=�Z /
A RESOLUTION AUTHORIZING THE APPROPRIATE
CITY OFFICIALS TO COMPLETE AN APPLICA-
TION WITH BROWARD COUNTY BOARD OF COUNTY
COMMISSIONERS PERTAINING TO A CHILD CARE
LICENSE REQUIRED FOR THE CITY'S AFTER
SCHOOL PROGRAM; AND PROVIDING AN
EFFECTIVE DATE..
BE IT RESOLVED BY THE COUNCIL OF THE CITY OF TAMARAC,
FLORIDA:
SECTION 1: That the appropriate City officials are
hereby authorized to complete an application with Broward
County Board of County Commissioners pertaining to a child
care license required for the City's After School Program, a
copy of said agreement being attached hereto as "Exhibit 1".
SECTION 2: This Resolution shall become effective upon
adoption. V
PASSED, ADOPTED AND APPROVED this 14 day of
1988.
ATTEST:
I NORMAN ABRAMOWITZ
MAYOR r:"Jtj
CAROL A. EVANS _
CITY CLERK
I HEREBY CERTIFY that I have
approved this RESOLUTION as to
form.
11941
RICHARD DOO
CITY ATTORN
RECORD OF COUNCIL. VOTE
MAYOR
ABRAMOWITZ
DISTRICT 1:
C/M ROHR
DISTRICT 2:
V/M STELZER
DISTRICT 3:
C/M HOFFMAN
DISTRICT 4-
C/M BENDER
Broward County Board of County Commissioners, Broward County, Florida
SOCIAL SERVICES DIVISION - CHILD CARE PROGRAM
APPLICATION FOR CHILD CARE LICENSE
Capacity: 79st Fee: License No.: 45409
Name of Center/School: Phone: 2-2735
Address:
Street City Zip Code
Name of Director/Operator: Michael P. Couzzo Jr. i�o phone: 722- 4210
rork ddress: 5650 II.W. 88 Ave. Tamarac 33321
Street City Zip Code
Social Security No.: - n/a Date of Birth: _ n/a
Name of Owner: City of Tamarac Home Phone: 722-5900
Home Address: 5811 N.w. 88 Ave. Tamarac, 33321
Street City Zip Code
Social Security No.: n/a
1) Description of Facility/School
Full Day
Infant Care
Evening Care
Closed in Summer
Half Day
24-Hour Care
Saturday
Open During Summer
2) Type of Facility
x Government (public)
• Non-profit (voluntary/religious)
Independent (for profit)
Other
5) Ages in care: Infants 0-1
6) Days and Hours of Operation:
7) Food cooked on premises?
X After School
X Summer Day Camp
Sunday
3) Weekly Fees: L _ o0
4) . Do you have a waiting list? no
Infants 1-2 Ages 2-5 X Ages 5 and up
Monday through Friday, 2:00 - 6:30 After School
Monday through Friday, 9:00 - 5:00 Sununer Recreation.
Yes X No
8) Alternate nutrition plan? Yes
9) Food served: (circle appropriate ones)
Breakfast Mid -morning snack
Lunch Mid-afterriQortsnack
10) Do you have a swimming pool on site? Yes X No
Do preschool children use it? Yes X No
11) Have all staff members road the pamphlet on child abuse reporting,
identification and prevention by the State of Florida? Yes x No
I2) Transportation:
a) Does this facility operate any vehicle to transport children? X Yes No
If yes, complete the following:
b) Has your vehicle been inspected for capacity and seat belts? Yes h No
Dinner
c) Has your vehicle been inspected by the Highway Patrol for mechanical safety? Yes No
d) Driver's name(s) and Florida Chauffeur's License Number: Frank Vassallo
V240-2b0--19-049
(attach separate sheet if necessary)
e) Does driver have Florida certification? X Yes No
* Vehicle is inspected routinely by Tamarac Public Works
Dept. Vehicle Maintenance Division. OVER
609Y•67 (rev. 7/87
13) Personnel Education Requirements
Please indicate the number of staff persons who have the following:
a) 2 Bachelor's Degree (Supervisory Personnel)
b) 1 Associate of Arts Degree
c) Montessori Certificate
d) Two years of college with six hours in Early Childhood Education
e) a certificate from an accredited institution (Adult/Voc. Tech. Training)
f) 3 High School Diploma also have 2 High School Juniors
*) Not all personnel are hired at this time
14) Program:
a) Age appropriate activities are provided for children:
Under 1 year 12-24 months 2-5 years after school program x
b) Attach separate sheets with a daily schedule and a brief description of the activities for each age group.
For children ages 2-5 years, these activities should include art, music, manipulative play, language arts,
science, math, creative and dramatic play. * See attached.
15) Are parents provided with a written copy of discipline policy? h Yes No
16.) Have you sent in your Child Abuse Registry Form to HRS? x Yes No
(For operators, this must be done yearly.) As Staff are hired.,'.
I HEREBY SWEAR OR AFFIRM THAT THE FOREGOING INFORMATION IS_TFUE
AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF
%_Swo n to and subs ibed before me this
day of A.D. 19 9Y .
NOTARY P BLIC, ST TE OF FLORIDA AT LARGE
' NOTARY PUBLIC STATE OF FLORIDA
NY COMMISSION EXP SEPT 17,1990
ROWTHO 1RRU GENERAL INS. UNO.
ARpl'Want nature
Michae- 1 70, Jr.
Da4Eeptember 14,988
NOTE: Incomplete, inaccurate or false information is grounds for denial of an Inspection Certificate
to operate. The Child Care Program must be notified of any change in plan or operation involving
facility staff, and children from that indicated on this application.
Thank you. Please return this with your application and fee to:
THE CHILD CARE PROGRAM
SOCIAL SERVICES DIVISION
115 SOUTH ANDREWS AVENUE, SUITE 120
FORT LAUDERDALE, FLORIDA 33301
CITY OF TAMARAc
APPROVED AT MEETING OF 9// 4409
609Y$7 Rev. 7/87
C�
I
Board of County Commissioners, Broward County, Florida
SOCIAL. SERVICES DIVISION — CHILD CARE PROGRAM
AFFIDAVIT
for Background Screening Check
1987
Michael R. Cou7.7.o, Jr.
, individually and
on behalf of The City of Tamarac
,a
Child Care Facility pursuant to Section 393.067, Florida Statutes, do hereby, under penalty of
perjury, verify that all new personnel in positions of special trust at this facility have completed all
components of background screening under chapter 85-54. The facility's remaining personnel have
worked at the applicant facility on a continuous basis since being initially screened at the facility
and are in compliance with the screening requirements of Section 393.067, Florida Statutes.
CITY OF TAM"AC
APPROVED AT MEETING OF /
S/wo�r to and subscr' ed before me this
day of "-w 19 � .
X�e� e��-
Notary Public, State of Florida at Large
eo9Y-T 72
Administrator
Michael R. ou zo, Jr.
Date Se tem er 14, 1988
NOTARY PUOLIC STATE OF FLORT04
NY CONNISSION EXP SEPT 17,1990
My Commission expires:. NONOEC INRU GENERAL INS. UNO.